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Wisconsin MedicaidCertification and Ongoing Responsibilities1 Family Planning Waiver Page 1 of 69Wisconsin MedicaidArchive Date:11/01/2010Certification and Ongoing Responsibilities:CertificationProvider
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What is member payment for noncovered?
Member payment for noncovered refers to the payment made by a member for services that are not covered by their insurance plan.
Who is required to file member payment for noncovered?
Healthcare providers or facilities are required to file member payment for noncovered when a patient pays for services that are not covered by insurance.
How to fill out member payment for noncovered?
To fill out member payment for noncovered, healthcare providers need to include the patient's name, date of service, description of the service, amount paid by the patient, and reason for noncoverage.
What is the purpose of member payment for noncovered?
The purpose of member payment for noncovered is to document payments made by patients for services that are not covered by their insurance, for tax and billing purposes.
What information must be reported on member payment for noncovered?
Information such as patient's name, date of service, description of the service, amount paid by the patient, and reason for noncoverage must be reported on member payment for noncovered.
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